If you have a mediclaim policy that entitles you to cashless facilities, here’s some bad news. You will no longer be able to get these facilities at high-end hospitals like APronto, etc

All insurance companies providing mediclaim facilities, a cashless health insurance, have stopped direct payment of treatment charges to 150-odd high-end hospitals in an india . If you now go to any of these hospitals, you will have to pay from your pocket despite having a valid mediclaim policy with all premiums paid. You will then have to reclaim the amount from the insurer with no guarantee that the entire amount would be reimbursed.

What’s forced these insurers to take this step is the fact that they have been bleeding badly. They are making an estimated loss of Rs 1,500 crore annually on a yearly premium collection of Rs 6,000 crore on mediclaim policies across the country, according to th third party administrator (TPA) which is a facilitator between the insured and the insurer.

It was also found that customers were overcharged for each hospitalization, irrespective of the treatment, and were left with very little funds for their next treatment.